Full-Time

Credentialing Specialist

Confirmed live in the last 24 hours

Charlie Health

Charlie Health

1,001-5,000 employees

Online mental health treatment for youth

Healthcare

Compensation Overview

$40k - $53kAnnually

+ Performance Bonus

Junior, Mid

No H1B Sponsorship

Nashville, TN, USA

Hybrid position requiring in-office presence.

Category
Risk & Compliance
Legal & Compliance
Required Skills
Salesforce
Requirements
  • Bachelor's degree
  • 2+ years working in health plan enrollment is preferred
  • Experience credentialing across multiple states as well as across Commercial and Medicaid payors
  • Experience with state Medicaid enrollment is preferred
  • Experience with delegated credentialing is a plus
  • Work authorized in the United States and native or bilingual English proficiency
  • Familiarity with and willingness to use cloud-based communication software—Google Suite, Slack, Zoom, Dropbox, Salesforce
Responsibilities
  • Complete health plan enrollment applications for both group and individual submissions across Medicaid and Commercial payers.
  • Communicate directly with providers to gather necessary information for credentialing application submissions
  • Ensure adherence to application requirements to guarantee all required information is submitted to health plans
  • Follow up on outstanding enrollments through phone, email, and portal to expedite provider enrollment approval
  • Monitor application progress and propose solutions for resolving credentialing delays and rejections
  • Track application progress and follow-ups directly in Salesforce

Charlie Health offers online mental health treatment services specifically designed for young people. Their main product is a virtual Intensive Outpatient Program (IOP) that combines personalized care with peer support to promote long-term healing. Clients can start the program quickly, often within 24 hours, and have flexible scheduling options available throughout the week. Charlie Health operates on a business model where clients can pay for services out-of-pocket or through insurance, with an easy verification process for coverage. The company distinguishes itself from competitors by focusing on the youth demographic and demonstrating effectiveness, as over 90% of clients report improvements in their mental health symptoms. The goal of Charlie Health is to provide accessible and effective mental health treatment to young individuals, addressing the growing need for such services in the telehealth market.

Company Stage

Seed

Total Funding

$826.8K

Headquarters

Bozeman, Montana

Founded

2020

Growth & Insights
Headcount

6 month growth

29%

1 year growth

59%

2 year growth

151%
Simplify Jobs

Simplify's Take

What believers are saying

  • Growing demand for youth mental health services boosts Charlie Health's market potential.
  • Partnerships with educational institutions expand access to student mental health support.
  • Advancements in AI enhance personalized treatment plans, improving service effectiveness.

What critics are saying

  • Increased competition from established telehealth providers like Talkspace.
  • Rapid scaling may challenge service quality and personalized care.
  • Dependence on insurance coverage poses risks if reimbursement policies change.

What makes Charlie Health unique

  • Charlie Health offers a virtual Intensive Outpatient Program for personalized mental health care.
  • The company provides rapid service initiation within 24 hours, enhancing accessibility.
  • Charlie Health's peer-reviewed research demonstrates significant reductions in emergency department utilization.

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